105 research outputs found
Pancreas MRI segmentation into head, body, and tail enables regional quantitative analysis of heterogeneous disease
Background: Quantitative imaging studies of the pancreas have often targeted the three main anatomical segments, head, body, and tail, using manual region of interest strategies to assess geographic heterogeneity. Existing automated analyses have implemented whole-organ segmentation, providing overall quantification but failing to address spatial heterogeneity.
Purpose: To develop and validate an automated method for pancreas segmentation into head, body, and tail subregions in abdominal MRI.
Study Type: Retrospective.
Subjects: One hundred and fifty nominally healthy subjects from UK Biobank (100 subjects for method development and 50 subjects for validation). A separate 390 UK Biobank triples of subjects including type 2 diabetes mellitus (T2DM) subjects and matched nondiabetics.
Field strength/Sequence: A 1.5 T, three-dimensional two-point Dixon sequence (for segmentation and volume assessment) and a two-dimensional axial multiecho gradient-recalled echo sequence.
Assessment: Pancreas segments were annotated by four raters on the validation cohort. Intrarater agreement and interrater agreement were reported using Dice overlap (Dice similarity coefficient [DSC]). A segmentation method based on template registration was developed and evaluated against annotations. Results on regional pancreatic fat assessment are also presented, by intersecting the three-dimensional parts segmentation with one available proton density fat fraction (PDFF) image.
Statistical Test: Wilcoxon signed rank test and Mann–Whitney U-test for comparisons. DSC and volume differences for evaluation. A P value 
Results: Good intrarater (DSC mean, head: 0.982, body: 0.940, tail: 0.961) agreement and interrater (DSC mean, head: 0.968, body: 0.905, tail: 0.943) agreement were observed. No differences (DSC, head: P = 0.4358, body: P = 0.0992, tail: P = 0.1080) were observed between the manual annotations and our method's segmentations (DSC mean, head: 0.965, body: 0.893, tail: 0.934). Pancreatic body PDFF was different between T2DM and nondiabetics matched by body mass index.
Data Conclusion: The developed segmentation's performance was no different from manual annotations. Application on type 2 diabetes subjects showed potential for assessing pancreatic disease heterogeneity.
Level of Evidence: 4
Technical Efficacy Stage: 3
Multi-Atlas Segmentation using Partially Annotated Data: Methods and Annotation Strategies
Multi-atlas segmentation is a widely used tool in medical image analysis,
providing robust and accurate results by learning from annotated atlas
datasets. However, the availability of fully annotated atlas images for
training is limited due to the time required for the labelling task.
Segmentation methods requiring only a proportion of each atlas image to be
labelled could therefore reduce the workload on expert raters tasked with
annotating atlas images. To address this issue, we first re-examine the
labelling problem common in many existing approaches and formulate its solution
in terms of a Markov Random Field energy minimisation problem on a graph
connecting atlases and the target image. This provides a unifying framework for
multi-atlas segmentation. We then show how modifications in the graph
configuration of the proposed framework enable the use of partially annotated
atlas images and investigate different partial annotation strategies. The
proposed method was evaluated on two Magnetic Resonance Imaging (MRI) datasets
for hippocampal and cardiac segmentation. Experiments were performed aimed at
(1) recreating existing segmentation techniques with the proposed framework and
(2) demonstrating the potential of employing sparsely annotated atlas data for
multi-atlas segmentation
SVRDA: A Web-based Dataset Annotation Tool for Slice-to-Volume Registration
Background and Objective: The lack of benchmark datasets has impeded the
development of slice-to-volume registration algorithms. Such datasets are
difficult to annotate, primarily due to the dimensional difference within data
and the dearth of task-specific software. We aim to develop a user-friendly
tool to streamline dataset annotation for slice-to-volume registration.
Methods: The proposed tool, named SVRDA, is an installation-free web
application for platform-agnostic collaborative dataset annotation. It enables
efficient transformation manipulation via keyboard shortcuts and smooth case
transitions with auto-saving. SVRDA supports configuration-based data loading
and adheres to the separation of concerns, offering great flexibility and
extensibility for future research. Various supplementary features have been
implemented to facilitate slice-to-volume registration.
Results: We validated the effectiveness of SVRDA by indirectly evaluating the
post-registration segmentation quality on UK Biobank data, observing a dramatic
overall improvement (24.02% in the Dice Similarity Coefficient and 48.93% in
the 95th percentile Hausdorff distance, respectively) supported by highly
statistically significant evidence ().We further showcased the
clinical usage of SVRDA by integrating it into test-retest T1 quantification on
in-house magnetic resonance images, leading to more consistent results after
registration.
Conclusions: SVRDA can facilitate collaborative annotation of benchmark
datasets while being potentially applicable to other pipelines incorporating
slice-to-volume registration. Full source code and documentation are available
at https://github.com/Roldbach/SVRDAComment: 18 pages, 11 figures, In submission to Computer Methods and Programs
in Biomedicin
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Fast volume reconstruction from motion corrupted stacks of 2D slices
Capturing an enclosing volume of moving subjects and organs using fast individual image slice acquisition has shown promise in dealing with motion artefacts. Motion between slice acquisitions results in spatial inconsistencies that can be resolved by slice-to-volume reconstruction (SVR) methods to provide high quality 3D image data. Existing algorithms are, however, typically very slow, specialised to specific applications and rely on approximations, which impedes their potential clinical use. In this paper, we present a fast multi-GPU accelerated framework for slice-to-volume reconstruction. It is based on optimised 2D/3D registration, super-resolution with automatic outlier rejection and an additional (optional) intensity bias correction. We introduce a novel and fully automatic procedure for selecting the image stack with least motion to serve as an initial registration target. We evaluate the proposed method using artificial motion corrupted phantom data as well as clinical data, including tracked freehand ultrasound of the liver and fetal Magnetic Resonance Imaging. We achieve speed-up factors greater than 30 compared to a single CPU system and greater than 10 compared to currently available state-of-the-art multi-core CPU methods. We ensure high reconstruction accuracy by exact computation of the point-spread function for every input data point, which has not previously been possible due to computational limitations. Our framework and its implementation is scalable for available computational infrastructures and tests show a speed-up factor of 1.70 for each additional GPU. This paves the way for the online application of image based reconstruction methods during clinical examinations. The source code for the proposed approach is publicly available
Construction of a consistent high-definition spatio-temporal atlas of the developing brain using adaptive kernel regression (vol 59, pg 2255, 2012)
Language ability in preterm children is associated with arcuate fasciculi microstructure at term
In the mature human brain, the arcuate fasciculus mediates verbal working memory, word learning, and sublexical speech repetition. However, its contribution to early language acquisition remains unclear. In this work, we aimed to evaluate the role of the direct segments of the arcuate fasciculi in the early acquisition of linguistic function. We imaged a cohort of 43 preterm born infants (median age at birth of 30 gestational weeks; median age at scan of 42 postmenstrual weeks) using high b value high-angular resolution diffusion-weighted neuroimaging and assessed their linguistic performance at 2 years of age. Using constrained spherical deconvolution tractography, we virtually dissected the arcuate fasciculi and measured fractional anisotropy (FA) as a metric of white matter development. We found that term equivalent FA of the left and right arcuate fasciculi was significantly associated with individual differences in linguistic and cognitive abilities in early childhood, independent of the degree of prematurity. These findings suggest that differences in arcuate fasciculi microstructure at the time of normal birth have a significant impact on language development and modulate the first stages of language learning
Improving automatic delineation for head and neck organs at risk by Deep Learning Contouring
INTRODUCTION: Adequate head and neck (HN) organ-at-risk (OAR) delineation is crucial for HN radiotherapy and for investigating the relationships between radiation dose to OARs and radiation-induced side effects. The automatic contouring algorithms that are currently in clinical use, such as atlas-based contouring (ABAS), leave room for improvement. The aim of this study was to use a comprehensive evaluation methodology to investigate the performance of HN OAR auto-contouring when using deep learning contouring (DLC), compared to ABAS. METHODS: The DLC neural network was trained on 589 HN cancer patients. DLC was compared to ABAS by providing each method with an independent validation cohort of 104 patients, which had also been manually contoured. For each of the 22 OAR contours - glandular, upper digestive tract and central nervous system (CNS)-related structures - the dice similarity coefficient (DICE), and absolute mean and max dose differences (|Δmean-dose| and |Δmax-dose|) performance measures were obtained. For a subset of 7 OARs, an evaluation of contouring time, inter-observer variation and subjective judgement was performed. RESULTS: DLC resulted in equal or significantly improved quantitative performance measures in 19 out of 22 OARs, compared to the ABAS (DICE/|Δmean dose|/|Δmax dose|: 0.59/4.2/4.1 Gy (ABAS); 0.74/1.1/0.8 Gy (DLC)). The improvements were mainly for the glandular and upper digestive tract OARs. DLC significantly reduced the delineation time for the inexperienced observer. The subjective evaluation showed that DLC contours were more often preferable to the ABAS contours overall, were considered to be more precise, and more often confused with manual contours. Manual contours still outperformed both DLC and ABAS; however, DLC results were within or bordering the inter-observer variability for the manual edited contours in this cohort. CONCLUSION: The DLC, trained on a large HN cancer patient cohort, outperformed the ABAS for the majority of HN OARs
Early development of structural networks and the impact of prematurity on brain connectivity
Preterm infants are at high risk of neurodevelopmental impairment, which may be due to altered development of brain connectivity. We aimed to (i) assess structural brain development from 25 to 45 weeks gestational age (GA) using graph theoretical approaches and (ii) test the hypothesis that preterm birth results in altered white matter network topology. Sixty-five infants underwent MRI between 25(+3) and 45(+6) weeks GA. Structural networks were constructed using constrained spherical deconvolution tractography and were weighted by measures of white matter microstructure (fractional anisotropy, neurite density and orientation dispersion index). We observed regional differences in brain maturation, with connections to and from deep grey matter showing most rapid developmental changes during this period. Intra-frontal, frontal to cingulate, frontal to caudate and inter-hemispheric connections matured more slowly. We demonstrated a core of key connections that was not affected by GA at birth. However, local connectivity involving thalamus, cerebellum, superior frontal lobe, cingulate gyrus and short range cortico-cortical connections was related to the degree of prematurity and contributed to altered global topology of the structural brain network. The relative preservation of core connections at the expense of local connections may support more effective use of impaired white matter reserve following preterm birth
PV-0531: Multi-centre evaluation of atlas-based and deep learning contouring using a modified Turing Test
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